LICENSED CLINICAL SOCIAL WORKER
NPI 1528325610
Social Worker - Clinical in Merritt Island, FL

Active since April 13, 2012
130 N TROPICAL TRL, MERRITT ISLAND, FL 32953(321) 759-4325(321) 632-1753 Get Directions Write a Review

NPPES record last updated: June 3, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Social Worker
  • Clinical

About LICENSED CLINICAL SOCIAL WORKER

This page provides the complete NPI Profile along with additional information for Licensed Clinical Social Worker, a provider established in Merritt Island, Florida operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1528325610 assigned on April 2012. The practitioner's primary taxonomy code is 1041C0700X with license number 6089 (FL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Licensed Clinical Social Worker. The authorized official of this NPI record is Ms. Ruth Lynne Grace L.c.s.w. (President)

NPI
1528325610 Verify this NPI
Provider Legal Name
REJUVENATE WITH GRACE, INC.
Other Organization Name
LICENSED CLINICAL SOCIAL WORKER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
130 N TROPICAL TRL MERRITT ISLAND, FL 32953
Location Phone
(321) 759-4325
Location Fax
(321) 632-1753
Mailing Address
PO BOX 561248 ROCKLEDGE, FL 32956
Mailing Phone
(321) 759-4325
Mailing Fax
(321) 632-1753
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-13-2012
Last Update Date
06-03-2014
Code Navigator

A clinical social worker like Licensed Clinical Social Worker is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
6089
License State
FL
Taxonomy Description
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. RUTH LYNNE GRACE L.C.S.W.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(321) 759-4325

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Acupuncturist
130 N TROPICAL TRL
MERRITT ISLAND, FL 32953
Behavior Analyst
130 N TROPICAL TRL
MERRITT ISLAND, FL 32953

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528325610, enumerated as an "organization" on April 13, 2012.

The provider is located at 130 N TROPICAL TRL MERRITT ISLAND, FL 32953 and the phone number is (321) 759-4325.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.